Individual provider Active NPI

Michael W Laker, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Rochester, MI
National Provider Identifier
1043353444
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
4301080456 Issued in MI
Practice address
1135 W University Dr
Suite 450
Rochester, MI 48307-1871
Phone
(248) 650-2400
Fax
(248) 609-9097
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 230905 MA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 4301080456 MI Primary
Orthopaedic Surgery Physician 207X00000X 4301080456 MI

Addresses

Primary practice location

1135 W University Dr
Suite 450
Rochester, MI 48307-1871

Mailing address

1135 W University Dr
Suite 450
Rochester, MI 48307-1871
Phone (248) 650-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000252 MI Practitioner - Orthopedic Surgery 7810088978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

19335 Merriman Rd
Livonia, MI 48152-1754
Phone (248) 849-6030

23852 Michigan Ave
Dearborn, MI 48124-1829

30055 Northwestern Hwy
Farmington Hills, MI 48334-3211

30055 Northwestern Hwy
Suite 30
Farmington Hills, MI 48334-3230
Phone (248) 865-4030

30055 Northwestern Hwy 260
Farmington Hills, MI 48334-3211
Phone (248) 865-4133

30055 Northwestern Hwy L-30
Providence Birmingham Orthopaedics
Farmington Hills, MI 48334-3211
Phone (248) 865-4238

47601 Grand River Ave
Novi, MI 48374-1233

Hospital & facility affiliations

  • Michigan Community Vna Home health agency, Bingham Farms, MI, CCN 237016
  • Custom Home Health Home health agency, Troy, MI, CCN 237707
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement25
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230905MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Health Providence Hospital Orthopaedic Surgery CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

30055 Northwestern Hwy
Ste L-30
Farmington Hills, MI 48334
Phone (248) 865-4238

19335 Merriman Rd
Livonia, MI 48152
Phone (248) 474-4900

26850 Providence Pkwy
Ste 355
Novi, MI 48374
Phone (248) 347-2435

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1043353444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 450",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-2400",
            "fax_number": "248-609-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 450",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-2400",
            "fax_number": "248-609-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKER",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "230905",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "4301080456",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301080456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.